MARION ALIDA O'HAGAN APRN NPI 1871858621

NPI Information

NPI: 1871858621
Provider Name: MARION ALIDA O'HAGAN, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
Phone: (502) 456-6200
Get Directions

Marion Alida O'hagan, APRN is a family nurse practitioner in Louisville, KY with 13 years of experience. Marion Alida O'hagan, APRN NPI is 1871858621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205-271
Phone: (502) 456-6200
Fax: (502) 456-6655

The NPI 1871858621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2012 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		3007449	KENTUCKY	No
2	363L00000X	Nurse Practitioner		71011784A	INDIANA	No
3	363LF0000X	Nurse Practitioner	Family	71011784A	INDIANA	No
4	363LF0000X	Nurse Practitioner	Family	3007449	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	017533400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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